| North Coast Substance Abuse Council | |
|
1205 Myrtle Ave Eureka CA 95501-1224 | |
| (707) 445-0869 | |
| (707) 445-0826 |
| Full Name | North Coast Substance Abuse Council |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1205 Myrtle Ave, Eureka, California |
| Authorized Official Name and Position | Wesley Harrison (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7074450869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Coast Substance Abuse Council Po Box 1332 Eureka CA 95502-1332 Ph: (707) 445-0869 | North Coast Substance Abuse Council 1205 Myrtle Ave Eureka CA 95501-1224 Ph: (707) 445-0869 |
| NPI Number | 1376057182 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376057182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 120005AN (California) | Primary |
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